皮肤基底细胞癌55例临床与病理分析

Clinical and Pathological Analysis of 55 Cases Cutaneous Basal Cell Carcinoma

目的通过分析基底细胞癌(BCC)临床病理特点,提高BCC的诊断水平,增强群众健康防病意识。方法对55例BCC患者的临床资料进行综合性分析。结果BCC患者中男、女比例为1∶1.29,年龄23～90岁,其中50～79岁占81.82%,农牧民居多(39例)。BCC病程长短不一,多发生于头面部。临床表现为多形性,容易误诊,误诊率达23.64%,各临床类型中以色素型最易误诊。BCC临床上以结节溃疡型(33例)及色素型(11例)为多见。BCC病理分型中以实体型最多见(25例)。结论BCC的发生与慢性长期日光照射密切相关,病理检查对该病的正确诊断、治疗和预后判断起着重要作用。

Objective To improve the diagnosis of BCC through the analysis of clinicopathological features of basal cell carcinoma （BCC） , and enhance disease prevention and health awareness of BCC. Methods Comprehensive analysing collected 55 BCC patients with clinical data. Results The ratio of male and female in BCC patients was 1 ： 1. 29. The youngest was 23-year-old but maximum 90-year-old, of which 50 to 79 accounted for 81.82% in BCC patients. Most of them were farmer and herdsman （39 cases）. BCC performed different lengths course and always occurred in the head and face. Pleomorphic clinical manifestations made BCC easily misdiagnosed and misdiagnosis rate was 23.64%. The pigment-type BCC was most often misdiagnosed in various clinical types. Clinically, ulcer-type nodular （33 cases） and pigment-based BCC （11 cases） were as often. Solid BCC（25 cases） was the most in BCC pathological types. Conclusion The occurrence of BCC is closely related to chronic long-term sun exposure. Pathological examination plays an important role in BCC＇s diagnosis, treatment and prognosis.